The sectoral plan for health promotion : An innovative instrument for a more just city

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The promotion of health is a joined interest of urban planners and health professionals. Due to the existing and increasing inequity in health and the knowledge on vulnerability and environmental determinants of health, the concepts of health inequity and environmental justice enrich each other (Bolte et al., 2012). One approach to reach more health for all promoted by WHO is called “health in all policies”. One policy field for health promotion is urban planning. Today health professionals make only little use of urban planning as policy for health promotion. To face this shortcoming the Landeszentrum Gesundheit (LZG, NRW Centre for Health) pursues the development of an innovative instrument: the sectoral plan for health promotion (Fachplan Gesundheit). This plan is based on an integrated spatial analysis of health, social and environmental data, identifies risks and potentials, develops goals and strategies to identify specific measures. This instrument was theoretically developed, illustrated through fictitious plans (LZG, 2012) and tested in a county and a city in 2014. As common in health promotion a consequent consideration of the vulnerability of the population is a natural approach in these plans. Therefore such plans are not only useful for health promotion; they have the potential to put discussions on justice in planning on a solid ground and provide information for planning decisions. The approach and first experiences from the practical test will be presented and put in a wider context of planning. Here we argue why we see the healthy urban development plan as a promising tool for a more just city.
Book of proceedings: Annual AESOP Congress, Definite Space – Fuzzy Responsibility, Prague, 13-16th July, 2015
healthy urban development, sectoral instrument, environmental justice
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